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FBO DAILY ISSUE OF DECEMBER 04, 2011 FBO #3662
DOCUMENT

Q -- Temporary Nursing Home Contract - Justification and Approval (J&A)

Notice Date

12/2/2011
 

Notice Type

Justification and Approval (J&A)
 

NAICS

623110 — Nursing Care Facilities
 

Contracting Office

Department of Veterans Affairs;West Palm Beach VA Medical Center;7305 North Military Trail;Palm Beach Gardens FL 33410-6400
 

ZIP Code

33410-6400
 

Solicitation Number

VA24812I0374
 

Archive Date

1/8/2012
 

Point of Contact

Lisame Acharia
 

E-Mail Address

2-7690<br
 

Small Business Set-Aside

N/A
 

Award Number

VA248-12-I-0374
 

Award Date

1/1/2012
 

Description

DEPARTMENT OF VETERANS AFFAIRS Justification and Approval For Other Than Full and Open Competition 1.Contracting Activity: Department of Veterans Affairs, VISN 8, West Palm Beach VA Medical Center (WPB VAMC). 2.Nature and/or Description of the Action Being Processed: This action is to establish a temporary Basic Ordering Agreement with current contractor Lakeside Health Center nursing home to provide nursing home services to two VA patients that reside in Lakeside Health Center. This Basic Ordering Agreement will be established for six months as a firm fixed price with an economic price adjustment. 3.Description of Supplies/Services Required to Meet the Agency's Needs: a)The WPB VAMC provide care to two veterans whose primary residence is Lakeside Health Center,the Veterans Health Administration (VHA) has a policy that nursing home care may be provided in licensed nursing facilities at the Department of Veterans Affairs (VA) expense. b)The VA Community Nursing Home (CNH) Program is designed to assist Veterans and their families in making the transition from an episode of hospital care, nursing home care, or domiciliary care to the community. The primary goal of the CNH Program is to maintain or restore the Veteran to the highest level of health and well-being attainable. c)The CNH Program has two cornerstones: some level of patient choice in choosing a nursing home in close proximity to their home and family; and an approach to local oversight of CNHs consisting of annual reviews and monthly patient visits. Following this approach, the West Palm Beach VA has established contracts in various areas throughout Southeastern Florida. d)The Contractor is to provide nursing home care in accordance with the VHA Community Nursing Home Procedures specified in VHA Handbook 1143.2. The facility has to meet all state licensing requirements including the state requirement pertaining to level of medical liability insurance. e)Payment to the CNH is subject to the State Medicaid rates which change semi-annually; however, our agreement allows only an annual change to reduce administration. f)The estimated value of the agreement over six months, January 1, 2012 through June 30, 2012 is $98,930.37. 4.Statutory Authority Permitting Other than Full and Open Competition: (X) (1) Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements per FAR 6.302-1; ( ) (2) Unusual and Compelling Urgency per FAR 6.302-2; ( ) (3) Industrial Mobilization, Engineering, Developmental or Research Capability or Expert Services per FAR 6.302-3; ( ) (4) International Agreement per FAR 6.302-4 ( ) (5) Authorized or Required by Statute FAR 6.302-5; ( ) (6) National Security per FAR 6.302-6; ( ) (7) Public Interest per FAR 6.302-7; 5.Demonstration that the Contractor's Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority): Lakeside Health Center is the primary residence for two WPB VAMC Veterans. This facility was chosen by the veterans as it is in close proximity to their home, family and friends, these Veterans have adapted to the facility and its staff; these Veterans and family have become accustomed to the daily routine provided by Lakeside Health Center and any change could jeopardize their health. The primary goal of the WPB VAMC is to maintain or restore the Veterans to the highest level well-being, while assisting Veterans and their families in making the transition from an episode nursing home care to the community, therefore changing facilities at this time is not in the best interest to the Veterans. 6.Description of Efforts Made to ensure that offers are solicited from as many potential sources as deemed practicable: This action is to establish a temporary Basic Ordering Agreement with current contractor Lakeside Health Center, this agreement is established to allow the WPB VAMC time to execute a five year multiple award Basic Ordering Agreement. 7.Determination by the Contracting Officer that the Anticipated Cost to the Government will be Fair and Reasonable: The pricing for this acquisition will be based on the established current Medicaid rate for the State of Florida. Based on the guidance given in M5 Part II chapter 3, a conversion from Medicare RUGs to Medicaid rates is used. The WPB VAMC uses Medicaid rates for room, board, and routine nursing care. A negotiated percentage to the SMA Rate will be given and remain constant throughout the life of the agreement, in accordance with the Economic Price Adjustment Clause of the contract rates may fluctuate. The Contracting Officer determines that the anticipated cost to the government will be fair and reasonable as Medicaid rates for nursing home care is standardized categorized by geographical location and levels of care. 8.Description of the Market Research Conducted and the Results, or a Statement of the Reasons Market Research Was Not Conducted: Market research was performed finding there are several businesses in the same area as Lakeside Health Center that provide nursing home care. Market research for future agreements is dependent on the needs of the patients and resources of the VA Medical Center which is customarily administer d by Social Work service. 9.Any Other Facts Supporting the Use of Other than Full and Open Competition: Lakeside Health Center is the primary residence for two WPB VAMC Veterans, this nursing home is in close proximity to their home, family and friends; these Veterans have adapted to the facility and its staff; and have become accustomed to the daily routine provided by Lakeside Health Center. Change in care could jeopardize the health of these Veterans; therefore changing facilities at this time is not in the best interest to the Veterans. 10.Listing of Sources that Expressed, in Writing, an Interest in the Acquisition: No other nursing homes located in the same proximity as Lakeside Health Center have expressed interest in establishing a contract with the WPB VAMC. However, any nursing home that expresses interest in contracting with the WPB VAMC shall be evaluated and considered for a contract, based on the WPB VAMC geographical need, specific care needs, and quality of care. 11.A Statement of the Actions, if any, the Agency May Take to Remove or Overcome any Barriers to Competition before Making subsequent acquisitions for the supplies or services required: All future procurements will be posted through the Government point of entry. Any potential source who expresses interest in providing these services may be considered. Proposed action is for six months. 12.Requirements Certification: I certify that the requirement outlined in this justification is a Bona Fide Need of the Department of Veterans Affairs and that the supporting data under my cognizance, which are included in the justification, are accurate and complete to the best of my knowledge and belief. _____________________________ ________________________ Thompsi Hoff, LCSWDate Community Care Programs Coordinator West Palm Beach, VAMC 13.Approvals in accordance with FAR 6.304 a.Contracting Officer's Certification: (required) I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief. _____________________________ ________________________ Lisame AchariaDate Contract Specialist West Palm Beach, VAMC _____________________________ ________________________ Eric SullivanDate Contracting Officer West Palm Beach, VAMC b.Product Line Supervisor (PLS): I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief. _____________________________ ________________________ Christopher MurphyDate Contracting Supervisor West Palm Beach, VAMC c.DNCM/NCM: (SAT to $500,000) I certify the justification meets requirements for other than full and open competition. _____________________________ ________________________ Mitchell ThomasDate Network Contract Manager VISN 8 d.SAO: I certify the justification meets requirements for other than full and open competition. _____________________________ ________________________ David M. FitzgeraldDate Director Service Area Office, East e.VHA HCA Review and Approval: (over $500,000) I have reviewed the foregoing justification and find it to be complete and accurate to the best of my knowledge and belief and recommend approval (over $50 million), approve (up to $ 50 million) for other than full and open competition. _____________________________ ________________________ HCADate Chief Procurement and Logistics Officer VHA Head of Contracting Activity (HCA) f.VA Deputy Senior Procurement Executive Approval (over $10 not exceeding $50 million): I have reviewed the foregoing justification and find it to be complete and accurate to the best of my knowledge and belief and approve for other than full and open competition. _____________________________ ________________________ Iris B. CooperDate Deputy Senior Procurement Executive (DSPE) Office of Acquisition and Logistics Department of Veterans Affairs g.VHA Senior Procurement Executive Approval (over $50 million): I have reviewed the foregoing justification and find it to be complete and accurate to the best of my knowledge and belief and approve for other than full and open competition. _____________________________ ________________________ Jan R. FryeDate Deputy Assistant Secretary for Acquisition and Logistics Senior Procurement Executive (SPE) Department of Veterans Affairs
 

Web Link

FBO.gov Permalink
(https://www.fbo.gov/spg/VA/WPBVAMC/VAMCCO80220/VA24812I0374/listing.html)
 

Document(s)

Justification and Approval (J&A)
 

File Name: VA248-12-I-0374 VA248-12-I-0374.doc (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=278409&FileName=VA248-12-I-0374-000.doc)

Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=278409&FileName=VA248-12-I-0374-000.doc

 

Note: If links are broken, refer to Point of Contact above or contact the FBO Help Desk at 877-472-3779.
 

Record

SN02632784-W 20111204/111202234451-18a9c95704f2d34979e24284387e6fc7 (fbodaily.com)
 

Source

FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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